Provider Demographics
NPI:1003167081
Name:ENGEL, SHELBY AM (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:AM
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 N LINCOLN ST
Mailing Address - Street 2:STE 101
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-835-4404
Mailing Address - Fax:509-835-4400
Practice Address - Street 1:1206 N LINCOLN ST
Practice Address - Street 2:STE 101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-835-4404
Practice Address - Fax:509-835-4400
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60307770235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist